Off-campus South Dakota State University users: To download campus access theses, please use the following link to log into our proxy server with your South Dakota State University ID and password.

Non-South Dakota State University users: Please talk to your librarian about requesting this thesis through interlibrary loan.

Document Type

Thesis - University Access Only

Award Date


Degree Name

Master of Science (MS)

Department / School


First Advisor

Kendra Kattelmann


People of the Cheyenne River Sioux Tribe have experienced significant lifestyle and dietary changes over the past seven generations resulting in an epidemic of diabetes and obesity. Nutrition therapy is an important component of diabetes self-management. Culturally specific education approaches have been encouraged. This study's objective was to determine if Northern Plains Indians with type 2 diabetes who receive educational intervention based on the Medicine Wheel Model for Nutrition will have improved glycemic and weight control. Adults (n=114) from the Cheyenne River Sioux Reservation, aged 18 - 65, with type 2 diabetes were randomized into a six month dietary education intervention or usual care group. The Education group received six lessons using the Medicine Wheel Nutrition Model. The Education group reported a significant mean weight loss (3 ± 0.8 lbs) and decrease in BMI (1 ± 0.1 pt.) from baseline to completion. Usual Care group reported no significant weight change from baseline to completion. The change in weight and BMI was significantly different between groups. There were no significant differences between groups in blood glucose parameters. In conclusion, a culturally based nutrition intervention promoted positive changes in weight control. An intervention of greater frequency and duration may be needed to support improvements in blood glucose and lipid parameters.

Library of Congress Subject Headings

Diabetics -- Education -- South Dakota -- Cheyenne River Indian Reservation
Indians of North America -- Nutrition -- South Dakota -- Cheyenne River Indian Reservation
Diabetes -- Diet therapy




South Dakota State University